Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.58 / $9,368.00 / $35,131.94	Facility		$1,271.58	$9,368.00	$35,131.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,849.94 / $4,740.35 / $4,740.35	Facility	AS	$2,849.94	$4,740.35	$4,740.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $20,884.61	Facility		$883.20	$1,075.31	$20,884.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,055.75 / $2,191.81 / $16,819.93	Facility		$1,055.75	$2,191.81	$16,819.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,409.73 / $1,926.25 / $2,018.71	Facility		$1,409.73	$1,926.25	$2,018.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.33 / $1,376.94 / $18,049.83	Facility		$1,341.33	$1,376.94	$18,049.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00